Conclusions Patients complaining of flatulence have a poor tolerance of intestinal gas, which is associated with instability of the microbial ecosystem.
Significance of this study
What is already known on this subject?
- Some patients specifically complain of excessive evacuation of gas per anus.
- Intestinal gas content depends by-and-large on gas production by bacterial fermentation of unabsorbed substrates.
- Diet influences anal gas evacuation and gut microbial composition.
- A proportion of patients complaining of flatulence have increased number of gas evacuations, but the net volume of gas evacuated is within the normal range.
- Flatulence is associated with abdominal symptoms.
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